<html>

<head>
<meta http-equiv=Content-Type content="text/html; charset=UTF-8">
<meta name=Generator content="Microsoft Word 11 (filtered)">
<title>M&#7851;u in Gi&#7845;y Phép</title>

<style>
<!--
 /* Style Definitions */
 p.MsoNormal, li.MsoNormal, div.MsoNormal
	{margin:0in;
	margin-bottom:.0001pt;
	font-size:12.0pt;
	font-family:"Times New Roman";}
@page Section1
	{size:8.5in 11.0in;
	margin:1.0in 1.25in 1.0in 1.25in;}
div.Section1
	{page:Section1;}
-->
</style>

</head>

<body lang=EN-US>

<div class=Section1>

<p class=MsoNormal align=center style='text-align:center'>C&#7896;NG HÒA XÃ
H&#7896;I CH&#7910; NGH&#296;A VI&#7878;T NAM</p>

<p class=MsoNormal align=center style='text-align:center'><b>&#272;&#7897;c
l&#7853;p – T&#7921; Do – H&#7841;nh Phúc</b></p>

<p class=MsoNormal align=center style='text-align:center'>________________</p>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:14.0pt'>U&#7926; BAN NHÂN DÂN</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:14.0pt'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:14.0pt'>&nbsp;</span></b></p>

<div align=center>

<table width="100" height="20" border=1 cellpadding=0 cellspacing=0 class=MsoTableGrid
 style='border-collapse:collapse;border:none'>
 <tr>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.5pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.55pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.55pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.55pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.55pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.55pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
  <td width=39 valign=top style='width:29.55pt;border:solid windowtext 1.0pt;
  border-left:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b><span
  style='font-size:14.0pt'>&nbsp;</span></b></p>
  </td>
 </tr>
</table>

</div>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:14.0pt'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:14.0pt'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:14.0pt'>&nbsp;</span></b></p>

<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:18.0pt'>CH&#7912;NG NH&#7852;N </span></b></p>

<p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>

<div align=center>

<table class=MsoTableGrid border=1 cellspacing=0 cellpadding=0
 style='border-collapse:collapse;border:none'>
 <tr>
  <td width=590 colspan=2 valign=top style='width:6.15in;border:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b>M&#7909;c</b><b>
   I.</b><b> Ch&#7911; s&#7903; h&#7919;u nhà &#7903;</b></p>
  </td>
 </tr>
 <tr style='height:73.3pt'>
  <td width=590 colspan=2 valign=top style='width:6.15in;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt;height:73.3pt'>
  <p class=MsoNormal align=center style='text-align:center'>&nbsp;</p>
  </td>
 </tr>
 <tr>
  <td width=590 colspan=2 valign=top style='width:6.15in;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'><b>M&#7909;c II.
  Th&#7921;c tr&#7841;ng nhà &#7903;</b></p>
  </td>
 </tr>
 <tr>
  <td width=295 valign=top style='width:221.4pt;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal>1/ Nhà &#7903; </p>
  <p class=MsoNormal>&#272;&#7883;a ch&#7881; : fdhfgjfgj </p>
  <p class=MsoNormal>&nbsp;</p>
  <p class=MsoNormal>Di&#7879;n tích sàn (nhà &#7903;, c&#259;n h&#7897;) (m<sup>2</sup>): 465475 </p>
  <p class=MsoNormal>K&#7871;t c&#7845;u nhà : dghfdhgf </p>
  <p class=MsoNormal>&nbsp;</p>
  <p class=MsoNormal>C&#7845;p (h&#7841;ng) nhà &#7903; :</p>
  <p class=MsoNormal>S&#7889; t&#7847;ng (t&#7847;ng) :4 </p>
  <p class=MsoNormal>N&#259;m xây d&#7921;ng :</p>
  <p class=MsoNormal>Di&#7879;n tích sàn nhà ph&#7909; (n&#7871;u có) (m<sup>2</sup>):5756756</p>
  <p class=MsoNormal>Th&#7901;i h&#7841;n s&#7903; h&#7919;u :</p>
  <p class=MsoNormal>&nbsp;</p>
  </td>
  <td width=295 valign=top style='width:221.4pt;border-top:none;border-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal>2/ &#272;&#7845;t &#7903; </p>
  <p class=MsoNormal>Gi&#7845;y ch&#7913;ng nh&#7853;n quy&#7873;n s&#7917;
  d&#7909;ng &#273;&#7845;t (s&#7889;, ngày, tháng, n&#259;m ): 464575, ng&#224;y 07 th&#225;ng 08 n&#259;m 2007 </p>
  <p class=MsoNormal>Th&#7917;a &#273;&#7845;t s&#7889; : 4654765 </p>
  <p class=MsoNormal>Di&#7879;n tích : 464765 </p>
  <p class=MsoNormal>S&#7917; d&#7909;ng riêng (m<sup>2</sup>): 74654756 </p>
  <p class=MsoNormal>S&#7917; d&#7909;ng chung (m<sup>2</sup>): 457657 </p>
  <p class=MsoNormal>&#272;&#7845;t &#273;&#432;&#7907;c giao ho&#7863;c thuê :</p>
  <p class=MsoNormal>H&#7907;p &#273;&#7891;ng thuê &#273;&#7845;t (s&#7889;,
  ngày, tháng, n&#259;m):</p>
  <p class=MsoNormal>23456 </p>
  <p class=MsoNormal>Th&#7901;i h&#7841;n thuê t&#7915;:ng&#224;y 07 th&#225;ng 08 n&#259;m 2007</p>
  <p class=MsoNormal>&#272;&#7871;n : ng&#224;y 07 th&#225;ng 08 n&#259;m 2007 </p>
  </td>
 </tr>
 <tr>
  <td width=590 colspan=2 valign=top style='width:6.15in;border:solid windowtext 1.0pt;
  border-top:none;padding:0in 5.4pt 0in 5.4pt'>
  <p class=MsoNormal align=center style='text-align:center'>M&#7909;c III,
  M&#7909;c IV &#7903; trang sau là thành ph&#7847;n c&#7911;a gi&#7845;y
  ch&#7913;ng nh&#7853;n này</p>
  </td>
 </tr>
</table>

</div>

<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td width="45%">&nbsp;</td>
    <td width="55%"><p class=MsoNormal align=center style='text-align:center'><i><br>
      Tân thành, ng&#224;y 07 th&#225;ng 08 n&#259;m 2007</i></p>
      <p class=MsoNormal align=center style='text-align:center'><b>TM. UBND</b></p></td>
  </tr>
</table>
</div>

</body>

</html>
